WORK STUDY TO REVIEW THE STAFF STRENGTH AT RAILWAY

WORK STUDY TO REVIEW THE

STAFF STRENGTH AT

RAILWAY HOSPITAL /PGT –

PGT DIVISION.

SOUTHERN RAILWAY PLANNING BANCH

G.275 / WSSR- 261718 / 2017-18

STUDIED BY

WORK STUDY TEAM

OF

PLANNING BRANCH

OCTOBER 2017


STAFF STRENGTH AT

RAILWAY HOSPITAL/PGT

PGT DIVISION

( i )

INDEX

SERIAL NUMBER

CONTENTS PAGE

NUMBER

(i) ACKNOWLEDGEMENT

1

(ii) AUTHORITY

(iii) TERMS OF REFERENCE

(iv) METHODOLOGY

(v) SUMMARY OF RECOMMENDATIONS 2

CHAPTERS

I INTRODUCTION 3-5

II PRESENT SCENARIO 6-20

III CRITICAL ANALYSIS 21-38

IV PLANNING BRANCH’S REMARKS ON CO-ORDINATING OFFICERS’ VIEWS.

39-43

V FINANCIAL SAVINGS 44

ANNEXURES

I ‘S.A.V.E.’ STATEMENT 45

II CO-ORDINATING OFFICERS’ VIEWS 46-48

.

1

(i) ACKNOWLEDGEMENT

The work study team acknowledges the valuable guidelines rendered by

CMS/PGT, ACMS/G/RH/PGT(Co-ordinating Officer), all Officers, Chief Matron /

RH/PGT (Co-ordinating Supervisor), Nursing Staff, Pharmacist and other staff of

RH/PGT for their valuable guidelines in conducting the work study.

(ii)

AUTHORITY

Annual programme of work studies approved for the year 2017-18.

(iii)

TERMS OF REFERENCE

Work Study to review the staff strength at Railway Hospital / PGT- PGT

Division.

(iv)

METHODOLOGY

The following methodology has been applied while conducting the study.

1. Collection and compilation of data.

2. Study, Indian Railway Manuals, Instructions and Yardsticks of Medical

Department.

3. Observation of field activities and the present system of deployment.

.

2

SUMMARY OF RECOMMENDATIONS

1) The following 07 posts are found excess to the requirement and

the same may be surrendered and credited to the vacancy bank.

Sl.

No. Category

Grade pay

(Rs.)

No. of

posts

1 Nursing Staff& PH Nurse 4600 3

2 Pharmacist 4600 2

3 Ambulance Driver 1900 2

Total 7

Total No of Posts :07

2) Posts recommended for surrender after outsourcing

Some of the activities are recommended for outsourcing, which is

equal to 20 posts, the same may be surrendered and credited to

the vacancy bank, after implementation of outsourcing.

Sl.

No. Category

Grade pay

(Rs.)

No. of

posts

1 Safaiwala 1800 11


3 Ambulance Attendant 1800 2

4 Watchman 1800 4

Total 20


3) The following 6 posts are recommended for creation, the

Division may initiate for the sanction.

Sl.

No. Category

Grade pay

(Rs.)

No. of

posts

1 ECG Technician 2400 1

2 Physiotherapist 4600 1

3 HA 1800 4

Total 6


3

CHAPTER – I

1.0 INTRODUCTION

1.1 England is the inventor of Worlds Railways Transportation System used

trucks drawn by horses along wooden planks laid lengthwise, in the

Highways during fifteenth Century is the basis of the present Modern Railway

Transportation System.

1.2 The First Public Railway was opened in 1805 in England, had a 1.22 m gauge

running between Wordsworth and Croydon, a distance of 145 km with the

help of Horse Motive Power.

1.3 The Steam Engine was invented in the 17th Century and a successful

passenger’s haul by steam Engine was achieved on 24th February 1804, with

70 Passengers to the length of 15 kms but unable to success in commercial

aspect hence Horse motive power continued for commercial utilities..

1.4 The Railways Mania soon overflowed the shores of Britain and turned to

India by Lord Dalhousie who emphasised the importance of Railways in India

in the Parliamentary Select Committee during the year 1850 is the root cause

of arising Indian Railways.

1.5 The First Train of India was flagged off on April 16, 1953 a Saturday at 3.35

pm, between Bordibundar and Thane to a distance of 34 km. Now Indian

Railways is the largest Rail Web in Asia and the World Second largest single

Management Organization which serves for 134 crore peoples. It has 17

Railway Zones.

1.6 Southern Railway was formed 64 years back on 14th April 1951 by the

amalgamation of South India Railway, Madras & Southern Maratha Railway

and Mysore State Railway. It spreads to Tamil Nadu, Kerala, Karnataka and

Pudhucherry to the kilometreage of 5075 and the running km is 7003.

1.7 There are 6 Divisions in Southern Railway in which PGT Division was formed

on 31st August 1956 in the name of Olavakkode Division.

1.8 On 1st November 2007, SA Division was formed which results the reduction

of domain of the PGT Division, the present route kilometer is 574 and

running Track Km is 978.

4

1.9 This Work study is conducted in the Medical Branch of Palaghat Divisional

Railway Hospital/PGT.

1.10 The Medical Branch in Railways is intended to look after the Health Problems

of serving and Retired Railway men and their families. It is also responsible

for various medical examinations of the employees during induction as well

as periodically (PME), Medical checkup of the private employees if canteen,

conservancy activities etc. The Health Department is organizing various

medical and awareness camps, immunization programmes, family planning

education, St.John ambulance activities etc.

1.11 Railways being a round the clock service with majority of its staff at various

scattered points and many of them bereft of basic medical facilities, a

separate medical establishment was considered as a welfare activity and it

has grown into a large organization in Railways. The cleaning activities of A

and B class stations, colonies and the water and food sample testing is also

organized by the medical branch.

1.12 Palaghat Divisional Railway Hospital is situated at Olavakkode nearly 1.5 kms

away from PGT Junction and 5 kms from Palaghat Town. Palaghat Railway

colony is near to the railway hospital. It is an area with lush green

surrounding of the Dhoni Hills. The pristine area without much pollution is

really an ideal spot for the hospital which was inaugurated in 1964. At

present, it is a referral hospital to areas in Palaghat Division and some area

of Salem and TVC Divisions.

1.13 Other Railway Hospitals in this division is RH/SRR and the Health Units

are HU/CLT, POY, CAN & MAQ.

1.14 The prime motto of the Planning Branch/HQ/Southern Railway is to right size

the man power in all the areas of the Zone on the interest of enhancing the

productivity and to make things to achieve the target operation ratio. RITES

is also emphasized to conduct regular work studies for rightsizing the Man

power and to justify the available Man power by Zero base budgeting.

5

1.15 The present trend of increasing Staff cost after implementation of the 7th

Pay Commission will result the higher Operation Ratio further. Since the

Staff costs alone took about 45% in the total expenditure, an urge is arise to

identify the very optimum Man power in all the Units, in such a way this

Work Study is conducted in the Railway Hospital / PGT and detailed further.

6

CHAPTER-II

2.0 PRESENT SCENARIO

2.1 CMS is the incharge of The Medical Department of the Division. The Office of

CMS/PGT is situated in the premises of Railway Hospital/PGT.

ACMS/D/Admin is the incharge for the Health Unit Administrative Activities.

ACMS/G is the incharge for the administrative activities and daily progress of

Railway Hospital/PGT . There are 10 Departmental Medical officers working

in this Hospital, two more visiting consultants also conduct Clinic in the

Cardiology and Orthopaedic once in a month. A Dentist is working regularly

in the contract basis. A Homeopathy Doctor is also available in the basis of

Contract.

2.2 Scalar Chain of Authority:

CMS

Sr. DMOs / DMOs & ADMOs

Lab. Staff Chief Matron Other Technicians

Pharmacist

Matrons & Nurses

Dressers Safaiwalas

Office Staff CHIs &

Safaiwalas Other RH /

HUs

ACMS/G

Cooks

Ambulance Driver

Watch men

Attendants

ACMS/D/Admin

ANO

Ambulance Attender

7

2.3 Medical department provides,

• Curative and preventive medical care for the Railway employees and

their family members, retired employees and travelling passengers if

any needed.

• Conduct medical examination for new recruits and PME for employees.

• Family welfare, Public Health & Sanitation and food samples

examination.

2.4 The Divisional Railway Hospital is located at Palaghat and the other Hospitals

or PGT Division are SDH/SRR, HU/CLT, HU/CAN, HU/MAQ and HU/POY.

2.5 Number of population availing Medical care at Railway Hospital/PGT

• Number of Retired employees and their Family members = 7288

• Number of Serving Employees and their Family members =9692

2.6 There are 106 beds available at Railway Hospital/PGT. The Ward wise beds

distributed as:-

• Male Surgical Ward = 19

• Male Medical Ward = 25

• Female Ward = 32

• ICU = 04

• Ortho Ward = 08

• Children Ward = 08

• Cabins = 05

• Eye Ward = 04

• Casualty = 01

8

2.7 The various General Medical Service / Specialty Services Cater in

this Hospital:

• General Medicine

• General Surgery

• Gynac & obst.

• Anaesthesiology

• Opthalmology / Surgery

• ENT

• Dermatology

• Paediatrics

• Cardiology

• Othopedic

• Dental

Medical Examinations, Family planning Education, Medical Campaigns/Camp,

are also the part of regular activities. Central Medical Store for the Division is

working in the RH/PGT. A Kitchen is also available where cooking and serves

patients departmentally. A portion of food is purchase from outside regularly

ie. Bread, Idly and milk. Two ambulance Vans with Drivers are dedicated

here for the transportation. Laboratory, X-ray, Scanning, TMT facilities are

also in service. Casualty functions, round the clock, in all the days. A regular

physiotherapist is also keep employed. Dentist and Homeopathy Doctor are

working under contract.

Hospital Timings:

• 08.00 -13.00 Hrs and 15.30 – 17.30 Hrs ( Monday to Friday)

• 08.00 -13.00 Hrs on Saturday

2.8 Various work stations at PGT Division Hospital:

• Reception / OP Chit

• Sick and Fit Counter

• Male OPD

• Pharmacy / Dispensing / Divisional Central Medical Unit

• Ortho surgical Clinic

9

• Sr.DMO Indoor Office

• Physiotherapy

• Casualty


• DNB /ENT

• Skin clinic

• Gynac and Obst.

• Medical Examination Room

• ANO office

• Dental Clinic

• Chief Matron

• Eye Clinic

• CMS Office

• Paediatrics

• PS to CMS

• CMS chamber

• Laboratory

• X-ray Unit

• Female and Children Ward

• Operation Theatre

• Cabins

• Eye ward

• Ortho Ward / surgical

• Post Operative Ward

• ICU

• TMT Room

• Male Medical Ward

• Ambulance Shed/Room

• Kitchen

10

2.9 Staff strength of Group C & D / RH/PGT :

There are 103 staff working against the sanction of 107 posts, the Net

vacancy is 5. 6 more Ministerial staff belongs to General Branch are also

working. The Staff covered in this Work Study, is listed as Sanction, Actual,

Vacancy and Excess Statement in Annexure –I.

2.10 Vital Statistics of RH/PGT as detailed by the Division is,

• No of beds :106

Bed Occupancy Ratio in %

o August 2016 : 42

o September 2016 : 35

o October 2016 : 33

o November 2016 : 34

o December 2016 : 34

o January 2017 : 34

o February2017 : 37

o March 2017 : 34

o April 2017 : 33

o May 2017 : 37

o June 2017 : 37

o July 2017 : 44

434

Average (434/12) : 36%

= 38.26 Say =39 beds

Average Stay of a Patient in the Hospital = 5 days

(Target 7 days)

o Total Number of Serving Employees : 2423

o Total Number of RELHS Card holders : 3695

11

• Number of Inpatients treated : 5 years

o 2012-13 : 2582

o 2013-14 : 2488

o 2014-15 : 2348

o 2015-16 : 2766

o 2016-17 : 2369

o 2017-18( Upto May2017) : 0372

:12925

Average : 208.46 per month

Say 7 per day

• Number of Outpatients treated : 5 years

o 2012-13 : 83186

o 2013-14 : 89365

o 2014-15 : 83624

o 2015-16 : 84448

o 2016-17 : 85975

o 2017-18( Upto May2017) : 13970

445568

Average : 7105 per month

Say 237 per day

• Number of Physiotherapy treatment rendered : 5 years

o 2012-13 : 9912

o 2013-14 : 9228

o 2014-15 : 9008

o 2015-16 : 7932

o 2016-17 : 5680

o 2017-18( Upto May2017) : 3094

37715

Average : 683 per month

Say 28 per day

12

• X- Ray wing : 5 years

Year Scanning X-Ray ECG TMT 2D Echo

o 2012-13 0 7019 5100 82 848

o 2013-14 0 5500 4621 73 1012

o 2014-15 0 5368 4177 50 795

o 2015-16 109 6308 5739 49 705

o 2016-17 229 4440 4190 52 785

o 2017-18 (Upto May 2017)

0 2168 1580 15 360

Total 338 30803 25407 321 4505

Average/ month

5 497 410 5 73

Average/day 1 17 14 1 3

• Average number of Injections administered in a day = 120

• Average Number of dressings made in a day = 15

• Number of deliveries attended in the last 5 years = Nil

• Number of Tests conducted in Laboratory, Average/Day

o 2012-13 : 507

o 2013-14 : 749

o 2014-15 : 696

o 2015-16 : 754

o 2016-17 : 740

Average : 690 per day

• Area of the Hospital Building requires complete sweeping, Moping

and Toilet washing

o Ground Floor : 2547.25 sqmts

o First Floor : 1666.00 sqmts

Building total Area : 2547.25 sqmts

13

• Number of Ambulance available :2

• Number of Campaigns/Seminars/classes conducted : 5 years

Year Campaigns Seminars Classes

o 2012-13 22 31 13

o 2013-14 20 32 17

o 2014-15 13 27 17

o 2015-16 42 63 18

o 2016-17 27 63 18

o 2017-18 (Upto June 2017)

10 21 0

Total 134 237 83

Average/month 2 4 1

No of Programmes conducted in a week = 2 Avg.

• Outstation duties of Staff other than Doctors : one year

o June 2016 : 15

o July 2016 : 11

o August 2016 : 15

o September 2016 : 13

o October 2016 : 18

o November 2016 : 15

o December 2016 : 16

o January 2017 : 05

o February 2017 : 24

o March 2017 : 04

o April 2017 : 24

o May 2017 : 08

Total 168

Average/month 14

• Availability of ARME – Scale II at PGT

14

2.11 The Actual Staff deployment of RH/PGT :-

Sl.

No Category No of Staff Distribution

1 Cook 3 Kitchen

2 Watchman 3 Shift

3 Lab Attendant 1 Lab/day

4 Ambulance attendant

1 Day

5 OT Assistant 4 OT SW CA MW/ICU FW Store Counter MOP Dental/FOP Eye Clinic PME Skin & ENT Other Clinics

: : : : : : : : : : : : :

2- day 5- shift 4- shift 4- shift 5- Shift 1-day 1- day 1 - day 1 - day 1 -day 1-day 1-day 1-day

6 Dresser 7

7 Hospital Attendant 17

28

8 Safaiwala 16 SW MW FW OT Lab & X-ray Store OPD

: : : : : : :

4- shift 4- shift 4- shift 1- day 1- day 1-day 1- day

9 Nursing Staff

29 Chief Matron OPD Incharge FW Incharge SW Incharge OT Incharge MW/ICU Incharge Casualty SW FW MW ICU OT Spare

: : : : : : : : : : : : :

1-day 1- day 1- day 1-day 1- day 1-day 4-shift 4-shift 4- shift 4-shift 4-shift 2-day 1

10 Ministerial Staff 1+6*

*- General Branch Account

Sr.DMO Office CMS Office Steno

: : :

1 5* 1*

15

11 Ambulance driver 2 - : -

12 Physiotherapist 1 - : -

13 Radiographer 1 X-Ray & Maintaining Scanner

:

14 ECG Technician 1 Scanning Activity :

15 Laboratory Technician

5 Laboratory : Day

16 Pharmacist 11 Division Central Store

: 3- day

Hospital Pharmacy Incharge

:

1-day

Sick & Fit Counter : 1-day

Medicine Dispensing, PCDO, Data posting, Ambulance arrangement, Attending Calls

:

4-shift

Reserve : 2

Total 103+6*

2.12 Various Duties of Medical Staff:

2.12.1 Matrons, Staff Nurses and Nursing Sisters :-

i) Duties of Matron :-

a. Supervision of the work and maintenance of discipline in the wards of

the sub-ordinates.

b. Checking of Muster Roll and presence of staff at assigned places and

times

c. Ensuring the prescribed nursing services by the nurses

d. Go on rounds with medical officers and ensure the complaints of their

instructions.

e. Accompany during the visits of CMD, Government Medical Officers &

VIPs

f. Ensure cleanliness of the hospital and related areas, linen, patient cloths

and keep the dhobi account.

g. Be in-charge of surgical equipments, linen, clothes, beds, furnitures, and

utensils and all other tools and plants and maintain the registers thereof.

h. Proper requisition and replacement of materials

16

i. Check the quality of food, served to the patients

j. Assist the surgeons during operations

k. Carryout any other duties entrusted by the medical officer

ii) Nursing Sister / Staff Nurse

a. Provide full range of nursing services commensurate to her training,

qualification and to the requirements of the patients.

b. Dressing of female patients, douching, plugging etc for gynecological

cases

c. Giving injections for indoor / outdoor patients

d. Assist operations, ensure sterilization of all equipments

e. Formulation of accurate and intelligent report for ward patients

f. Evaluation of diet requirements and getting acknowledgement from

patients for its receipt

g. Observe visiting hours strictly

h. Ensure courtesy and help to patients, relatives and visitors to the ward

i. Accompany medical officers during their rounds

j. Maintain ward stock of dressings, drugs, stores etc and get replenishment

whenever required.

k. Maintain registers / records

l. Supervise duties of Group “D” staff working in the ward

m. Ensure supply of medicines, dressings etc.

n. Ensure cleanliness of operation theatre, surgical instruments and

sterilization

o. Preparations splints and any other specialized duties

2.12.2 Pharmacists:

a. Preparation of lotion, ointments and application for surgical dressings

b. Rendering first aid in emergencies

c. Maintain dispensing room in order and distribute medicines to patients

d. Keep accounts of medicines, dressings, consumables and perishables

received, consumed and distributed.

e. Preparation of indents, condemnation of items and submission thereof.

f. Receive stores from parcel / goods office or delivery clerk

17

g. Make entries in all outdoor tickets and injury sheets

h. Prepare sick and fit certificates

i. Receive and process all applications for medical examination and take

their weight / height and chest measurements of the candidates when

required.

2.12.3 Lab Superintendent

The main tests are

a) Haematology

b) Clinical Pathology

C) Bio-Chemistry and Serology

d) Kidney function test

e) Cardiac profile

f) Liver function test.

Standardisation / Calibration of equipments related to bio-chemical

estimation is to be done regularly. They are also called up on during

emergencies and for special camps.

2.12.4 Duties of Radiographers

a. Registration of X-ray cases

b. Setting dark room for developing x-ray films

c. Brium and IVU slides for fluoroscopy

d. Preparation of indents, maintenance of stock register and supply to

other RH/HUs .

e. Attending medical camps at outstations

2.12.5 ECG Technician

• Registering ECG cases

• Assisting Cardiologist / Physician for doing ECHO test

• Maintenance and servicing of tread mill and other ECG machines

belonging to RH / HUs of PGT Division.

18

2.12.6 Physiotherapist

• Short wave diathermy

• Interferential therapy

• Cervical traction

• Pelvic traction

• Ultrasonic therapy

• Infra-red therapy

• Electrical Nerve Muscle Stimulator

• Wax bath therapy

• Physical therapy exercises

2.12.7 Ministerial staff

There are 2 Ch.OS and 3 OS working in CMS Office, one confidential

assistant to CMS also available. One more Ch.OS is working in the

Office of Sr.DMO/H. Their duties are as follows.

a) Chief OS will supervise the work of all office staff and help CMS and

Sr.DMO/H in administration.

b) One Chief OS takes care the CMS power related Tenders and Local

purchases

c) Reimbursement Medical bills take care by OS.

d) Stores Items i.e M&P, Linen, Consumables, Repairs condemnation and

other responsibilities of a OS.

e) Imprest, Medicines, Repairs of all the Divisional bills are care by a OS.

2.12.8 Dressers

Their duties are

a) Attend the dressings of all types of wounds and injuries

b) Sterilization of equipments

c) Auto-clave of dressing materials

d) Preparing patients for operation

e) Up-keep of all equipments in proper order

f) Preparation and application of splints and under take cutting and

rolling of bandages.

19

g) Any other instructions assigned by superiors viz., staff nurse /nursing

sister / matron / medical officer (Refer item No.10, Chapter – II,

Vol.-I of IRMM).

2.12.9 Cooks

Their duties are,

a) To procure lunch and dinner according to the directions of chief

matron / matron and under the supervision of steward clerk.

b) Procure the food in prescribed measure properly cooked and tastefully

c) Procure cereals, groceries and vegetables under the instructions of

chief matron.

d) Cleaning of vessels, utensils etc

e) Keep cleanliness and hygiene in the kitchen

f) Assist attendance in supplying food to patients

g) Grinding, pulverizing, cutting etc related to kitchen works

h) Ensure economic usage of fuel (gas).

2.12.10 Duties of Hospital Safaiwalas

a) Sweep the roads, ground, floor etc

b) Frequent cleaning of the floors of the wards with wet clothes and also

doors, windows, window panes etc

c) Clean and bed pan, sputum cups, urinals, commodes, latrines etc

d) Supply of bed pans, urine bottles to the patients and clean them after use

e) Carry the patients and stretches in the hospitals and from station to

hospital and back

f) Carry hospital stores

g) Wash soiled clothes

h) Carry out any other orders given by his / her supervisors.

2.12.11 MV Drivers

There are Two MV Drivers in RH/PGT and they are working according

to the requirement with the available 2 vans.

20

2.12.12 Watchman

There are three watchman and they are working in round the clock

shift. There is no RG available which results unmanned in a link.

2.12.13 Hospital Attendants

• Cleaning and Keep the ward neat and tidy

• Sponge the patients where there is no Nurse.

• Prepare beds and other arrangements for patient

• Assist Dressers, Nurses for their duty

• Take / assist temperature, pulse, respiration etc.

• Serve food and drinks to patients

• Carry and transfer injured patients / sick patients

• Assist in X-ray unit, laboratories , stores, clinics and other needy areas

• Deliver letters, report to required places

• Assist to record, register, data / entries like sick / op / counters.

21

CHAPTER-III

3.0 CRITICAL ANALYSIS:

3.1 The total originating earning of Southern Railway in the year 2016-17 was

7911.92 crores and the total Working Expenditure was 8196.50 crores. The

PEI is 103.60% whereas it was 92% during the year 2015-16, the present

7th Pay Commission implementation going to hit in the current year. The

staff cost part of Medical Department is about 4% in the total expenditure.

Though medical department of Indian Railways was branded as a non core

activity department by Malhotra and Rakesh Mohan Committee reports on

Railway reforms and there was a policy initiated for health insurance &

privatization of Health Department system for Railway men, Government of

India and Ministry of Railways has not accepted due to the complexity of the

issues. Instead, the optimum utilization of man power is initiated in medical

department as like in other departments, which is carefully analyzed here for

RH/PGT.

To arrive man power requirement the criteria considered are;

1. Applying Bench marking data

2. Railway Board Yard stick – Man power requirement for Medical

Department

3. Observing the present deployment and arrive optimum

Manpower on need basis.

3.2. Medical Officers:

The yard stick prescribed Sub-Divisional Railway Hospital extent minimum

service of:


• General Surgery

• Gynac & Obst.

• Anaesthesiology

• Dental Surgery

22

• Paediatrics

• Orthopaedic Surgery

• Chest Medicine

• ENT surgery

• Radiology

• Pathology

The Railway Hospital /PGT is rendering all the above Medical facilities except

Orthopedic surgery and pathologist.

The above services are rendered in this Hospital by a Team of 10 Permanent

Doctors, 2 Consultants who care in the field of cardiology and Orthopaedic

and required surgeries also conducted on need base. The requirement of

Doctors is not under the purview of work study scope hence it deals with

other Medical staff only.

Man Power Requirement as per Bench Marking :

The Bench Mark data issued regularly by the E&R Directorate. The Railway

board instructed to put the rigorous effort to bring the Divisions higher than

the All India Average to All India Bench Mark level which will lead to huge

reductions of cost and increased productivity. The recent bench mark issued

by the Railway board during June 2017 for Medical Staff in division level is as

:-

• Bench Mark = 2.3 Medical person per 1000 staff

• IR average = 21.2 Medical person per 1000 staff

The present number of staff actually available at RH/ PGT is 103 which is

equal to 7.7 Men per 1000 staff, seen as 235% above to the Bench Mark

level.

The Man power requirement for RH/PGT, as per Bench

mark = 31

(2.3 /7.7 X 100 = 30%)

(30% of 103 = 31)

23

3.3. As per Yardstick, Man power requirement:-

Ref: Executive Director, Health(P)/RB No.2013/H/14/5/1/ Policy,

Dt.: 11.03.2.013.

The yardstick elaborately proposes the Man power requirement for Indian

Railway Medical Department based on functional Unit under job requirement.

The paramedical staff requirement is arrived from various factors like level of

the Hospitals, no of beds, OPD & IPD statistics, availability of ICUs, No. of

Clinics conducted, type of Laboratory units, Area of the buildings etc.,

The yardstick is applied for the paramedical staff & assistants and arrived the

requirement is detailed below:-

I. NURSING STAFF:-

Working Area Yardstick proposes Staff

Requirement

1 Casualty 1 post-8 hrs shift- Round the clock 3.5

2 OPD Incharge–General/Specialist/ Casualty

1.0

3 OPD Injection room - 1.0

4 Speciality OPD clinics Eye, ENT, Dental, Chest, Skin 5.0

5 Hospital Administrative wing

1 ANO available + Sr.Matron –Upto 50 beds

1.0

6 OT 1 post - Sister Incharge/Hospital 1.0

7 Pre-operative Ward 2 posts -8 hrs –shift 3.5

8 Theatre Nurse (Scrub nurse)

Normally one 1.0

9 Post Operative Recovery room

Normally one 1.0

10 Reception of OT Normally one 1.0

11 ICU ICU Incharge 1.0

12 ICU 1 post / 2 beds – 8 hrs shift RH/PGT – 4 ICUs

7.0

13 Indoor Ward 1 post Incharge / every 40 beds 1.0

14 Clinical Ward 20 Indoor wards – Mrg -2, Eve-1 & Night -1. RH/PGT requires 2 sets

8.0

15 Waste Management 1 post Matron - Incharge 1.0

Sub total 37.0

Reserve(20%) 7.5

▪ Total requirement of Nursing Staff is 45.

24

II. HOSPITAL ATTENDANT:-

Working Area Yardstick proposes Staff Requirement


1 post-8 hrs shift- Round the clock-Addl.

3.5

2 Reception 2 posts- 7.00 hrs-15.00 hrs & 10.00-20.00hrs

2.0

3 Registration 1 post /150 OPD- Avg. 284 2.0

4 OPD General OPD- 1 in each OPD room independently

8.0

5 Radiographer Assistance

1 ‘D’ staff for 2 Radiographers 1.0

6 Lab 1 post – OPD Report Despatch 1.0

7 Lab 1 post – Indoor report dispatch 1.0

8 Lab 1 post – OPD Collection room 1.0

9 Lab 1 post with each indoor collection Technician

1.0

10 Lab 1 post for every 2 sections of Pathology Department

1.0

11 Physiotherapy Room 1 post 1.0

12 Hospital Administrative wing

1 post / less than 50 beds 1.0

13 Central Medical Store 2 posts 2.0

14 Indoor Sub store 1 post

1.0

15 Local Purchase Section 1 post 1.0

16 Dispensing pharmacy Unit

1 post 1.0

17 OT 3 posts -Divisional Hospital 3.0

18 ICU 1 post / every 4 ICU beds /shift 3.5

19 Indoor Ward Every 20 beds -Mrg: 2, Eve:1 & Night: 1(Requires -2 sets)

8.0

Sub total 46.5

Reserve (12.5%) 05.8

Total 52.3

▪ Total requirement of Hospital Attendants is 52



Sub total 3.5

Reserve (12.5%) 0.5

Total 4.0 ▪ Total requirement of Dresser is 4

25

III. DRESSER:-

IV. SAFAIWALA :-

Working Area Yardstick proposes Staff

Requirement


2 OPD 5000sqft. area in OPD/ post RH/PGT is about 3500sqft.

1.0

3 Lab 1 post / Pathology lab & Collection Centre 1.0

4 OT 2 posts – Divisional Hospital 2.0

5 ICU 1 post / for every 4 ICU beds/ shift 3.5

6 Indoor Ward 1 post / every 20 beds / 8 hrs-shift (2 sets) 7.0

7 Waste Management

1 post 1.0

Sub total 19.0

Reserve (12.5%) 02.3

Total 21.3

▪ Total requirement of Safaiwala is 21.

▪ The Total requirement of HA, Dresser & Safaiwala = 77

V. AMBULANCE DRIVER:-



Sub total 3.5

Reserve (12.5%) 0.5

Total 4.0

▪ Total requirement of Ambulance Driver is 4

VI. KITCHEN STAFF :-

Working Area Yardstick proposes Staff Requirem

ent

1 Kitchen & Serving Cook - 2 posts/100 beds Cook mate – 2 posts / 100 beds Bearer – 2 posts / 100 beds

3.0

Sub total 3.0

Reserve (12.5%) 0.4

Total 3.4

▪ Total requirement of Kitchen Staff is 4

26

VII. AMBULANCE ATTENDANT :-


1 Divisional Hospital 1 1.0

Sub total 1.0

Reserve (12.5%) 1.0

Total 2.0

▪ Total requirement of Ambulance Attendant is 2.

VIII. SECURITY SYSTEM :-


1 Divisional Hospital Recommending Private System Nil

Sub total -

Reserve (12.5%) -

Total Nil

▪ Total requirement of Security System is Nil

IX. RECORD ROOM :-


1 Divisional Hospital 1 Post – Group ‘C’ 1.0

Sub total 1.0

Reserve (12.5%) Nil

Total 1.0

Total Requirement of Record room Sorter is 1.

X. PHYSIOTHERAPIST :-


1 Divisional Hospital 1 Post 1.0

Sub total 1.0

Reserve (12.5%) Nil

Total 1.0

▪ Total requirement of Physiotherapist is 1.

27

XI. OT TECHNICIAN :-


1 Divisional Hospital Equal to the Number of Aneasthetist 1.0

Sub total 1.0

Reserve (12.5%) Nil

Total 1.0

Total Requirement of OT Technician is 1.

XII. RADIOGRAPHERS :-


1 Divisional Hospital Min. 2 posts can handle upto 60 Exposures in a day

2.0

Sub total 2.0

Reserve (12.5%) Nil

Total 2.0

Total Requirement of Radiographers is 2.

XIII. OT ASSISTANT :-


1 Divisional Hospital 3 posts - without CSSD 3.0

Sub total 3.0

Reserve (12.5%) 1.0

Total 4.0

Total Requirement of OT Assistant is 4.

XIV. ICU TECHNICIAN :-


1 Divisional Hospital 1 Post in Morning Shift 1.0

Sub total 1.0

Reserve (12.5%) 1.0

Total 2.0

Total Requirement of ICU Technician is 2.

28

XV. PATHOLOGY TECHNICIAN :-


1 OPD Registration 1 Post – Group ‘C’ 1.0

2 OPD collection 20 patients / hour/Technician 1.0

3 Indoor collection 10 patients /hour/Technician 1.0

4 Clinical Haematology With Blood cell counter75 samples/ day/person

1.0

5 Bio-chemistry

Semi Auto analyzer -40 samples/4 hours/Technician. Auto Analyzer – 1 Technician/Machine

2.0

6 Clinical Pathology& Immunology

50 samples/day/Technician 1.0

7 Incharge 1 Lab Superintendent 1.0

8 Data Entry 1 Group ‘C’ 1.0

Sub total 9.0

Reserve (12.5%) 0.76

Total 9.76

Total Requirement of Pathology Technician is 10.

XVI. PHARMACIST :-


1 Central Medical Store 2 Posts 2.0

2 Indoor Sub store 1 post 1.0

3 OPD Sub store 1 post 1.0

4 Local Purchase Section 1 post 1.0

5 Dispensing Unit 1 post for 100 OPD 3.0

Sub total 8.0

Reserve (12.5%) 1.0

Total 9.0

Total Requirement of Pharmacist is 9.

29

XVII. Ministerial Staff :-


1 Administrative Wing

3 posts – 50 beds 3.0

1 steno to CMS 1.0

1 Steno for every 10 Medical Officers 1.0

Sub total 5.0

Reserve (12.5%) 1.0

Total 6.0

Total Requirement of Ministerial Staff is 6.

“The Total Requirement for RH/PGT, as per the Railway Board

Yardstick Man Power Planning calculation is 168”.

3.4 The present Operation Ratio of Southern Railway is 166.14, Hence, Railway

Board insisted to take swift action to control the Expenditures to make the

Zone as advantageous one. As pointed out earlier, the cost of Man power is

about 45% in the total expenditure. The responsibility fixed for Man Power

Planning to identify the utmost optimum Man power to each and every unit

of the Zone, which makes it as a profitable one and also it is a policy that to

identify and surrendering the possible posts that helps to create the Safety

category posts, which is the back bone of the Railways.

From the above Man power calculation, it is noticed that as per Bench

marking, the Man power requirement is 31 and as per the Yardstick, it is 168,

whereas the actual available work force at RH/PGT is 103. The rationale of

the Work Study is not to calculate the Man power as per the Yardstick or

Bench mark, but to arrive the Optimum Man power to run the unit smoothly

and to identify the excess force for the benefit of the Administration. The

present deployment and the staff distribution are observed and the required

man power is arrived on need basis.

30

3.5 General Discussion :

The number of in patients, out patients and other allied activities are coming

down year after year in RH/PGT. The Divisional Hospital for SA Division also

commenced and functioning smoothly which results downsizing of patients

arrival from SA area to RH/PGT. The number of deliveries has come down to

Zero whereas it was about 8 at the year of 2010. The ACMS/G detailed that

the number of patients arrival is depending upon the availability of specialist

Doctors only, if more specialists available, the number of patients arrival

would also be increased, hence, the present Inpatient, Outpatient and Bed

Occupancy statistics are not only taken as whole datum to conduct the study.

But providing more specialists or additional doctors engagement is the

responsibility of the division, hence the study team is having only option to

take the present workload, for manpower calculation.

On general observation, it is noted that the number of nursing incharges is

very high (6) when compare with the nearby Divisional Hospitals. An ANO is

also available who will care of the major portion works of the Chief Matron

and other incharge Nurses.

Number of Pharmacists is also very high; they are utilized in Sick and Fit

Counter, Night shifts for Reception & Ambulance arrangement and PCDO

preparation. The pharmacists are selected with required technical

qualification ie. Diploma in Pharmacy (D.Pharm.,), under utilizing the post to

other areas is economically waste.

The present Railway Board Policy on Outsourcing may be initiated in Kitchen.

Three Watchman are available the post are also can be privatized.

The Yardstick insisted that, to the extent possible, ambulance services should

be organized by hiring the ambulance along with Man power, fuel etc. which

also can be implemented in this Unit.

31

Railway Board letter No. E(MPP)2016/1/59, Dt.: 10.01.2017 where in,

Director/MPP/RB detailed that “more non-core activity which are not

directly related with train operations and safety can be outsourced”.

Hence, Safaiwalas work can also be outsourced will save handsome

manpower.

3.6 Man Power Requirement on need basis:-

3.6.1 Ministerial staff:

1. CMS Office(present strength allowed) : 5

2. Stenoto CMS : 1

3. Sr.DMO Indoor Office : 1

----

7

---

Requirement of Ch.OS/OS/Sr.Clerk: 1 + 6 (6 on General Branch Account)

3.6.2 Chief Matron / Nursing Sister / Staff Nurse :

1. Chief Matron : 1

2. First Floor wards Incharge : 1

3. Ground Floor Ward Incharge : 1

4. OPD Incharge : 1

5. OT Incharge : 1

6. Casualty : 3.5

7. Female Ward : 3.5

8. Surgical Ward : 3.5

9. Medical Ward : 3.5

10. ICU : 3.5

11. OT : 2

Total : 24.5

LR : 3 ---

Total: : 28

Requirement of Chief Matron / Nursing sister / Staff Nurse – 28

32

3.6.3 Chief Pharmacist / Pharmacists :

1. In-charge Pharmacist : 1

2. Central Stores – Indents/Bills/Procurement : 3

3. Dispensing Unit : 2

4. Data posting and other Reports : 1

Reserve : 1

---

Total : 8

----

Requirement of Chief Pharmacist / Pharmacists – 8

3.6.4 Lab. Superintendent :

1. In-charge Lab superintendent : 1

2. Registrations collections & reports : 1

3. Testing and Ananlysis : 3

---

Total : 5

----

Requirement of Lab. Superintendent and Technicians :5

3.6.5 Lab. Attendant :

One Lab Attendant is allowed to assist in the laboratory activities: 1

Requirement of Lab Attendant: 1.

3.6.6 Radiographer:

As per the Yardstick, minimum 2 Radiographers are required for the

Divisional Hospital, is allowed.

Requirement of Radiographer – 2

3.6.7 X – ray Attendant:

One X-ray Attendant is allowed to assist Radiographer

Requirement of x – ray Attendant: 1.

33

3.6.8 ECG Technician :

At present One ECG Technician is available for scanning and TMT activities

but the post is not sanctioned. 1 post of ECG Technician is allowed.

Requirement of ECG Technician : 1.

3.6.9 Physiotherapist:

At present One Physiotherapist is available for rendering therapies to the

patients but the post is not sanctioned. 1 post of Physiotherapist is allowed.

Requirement of Physiotherapist: 1.

3.6.10 OT Assistant, Dresser & Hospital Attendant :

The total sanction of the above 3 posts are 28 and actual is also 28. The

requirement is,

1. Reception : 3.5

2. Sick & Fit Counter : 1

3. Casualty : 3.5

4. Female Ward : 3.5

5. Male Ward : 3.5

6. ICU and Other Wards : 3.5

7. Operation Theatre : 2

8. Various Clinics : 6

9. Store : 2

: 28.5

Reserve : 3.5

Total : 32

Requirement of OT Assistant, Dresser and Hospital Attendants: 32

3.6.11 Record Sorter :

At present One Record Sorter post is kept vacant which has to be posted.

Requirement of Record Sorter : 1.

34

3.6.12 Safaiwala :

The requirement is,

1. Exterior Cleaning : 1

2. In door Cleaning and Toilets washing : 4

3. Shift – General Cleaning : 3.5

: 8.5

Reserve : 1.5

Total : 10

Requirement of Safaiwala : 10.

Medical department is being maintaining various Contracts for cleaning

activities at Stations and Colonies, under the supervision of Health

Inspectors. Hospital cleaning works also can be outsourced and the

minimum number of Department Safaiwalas (atleast 5) can be maintained.

After outsourcing the requirement of Safaiwala : 5.

3.6.13 Ambulance Driver :

At present two ambulances available for which two drivers working, 3

posts are kept vacant.

3 Ambulance Drivers are allowed to continue. As per the yardstick this

service can be outsourced and 5 posts of Ambulance Drivers can be

surrendered after implementation of outsourcing.

Requirement of Ambulance Driver : 3 and after implementation of

outsourcing, Nil

3.6.14 Ambulance Attendant :

The available Ambulances are two, hence two Ambulance Attendants are

allowed at present. The RB Yardstick also recommends for hiring of

Ambulance service, along with man power, fuel etc. The need of

department Ambulance attendant is to be shelved after implementation of

outsourcing.

35

Requirement of Ambulance Attendant : 2 and after implementation of

outsourcing, Nil

3.6.15 Watchman:

Railway Board advised to entrust the securing system by outsourcing.

Division may initiate in future. The present sanction 4 is seems to be

enough until outsourcing.

Requirement of Watchman : 4 and after implementation of Outsourcing ,Nil.

3.6.16 Cook

The present sanction of the Cook is Nil, but the actual available is 3. It is

recommended to outsource the all Kitchen activities.

Requirement of cook : Nil

36

3.7 The composite list of Sanction, Actual and requirement:-

$ : Total requirement of Ministerial Staff is 7, in which 6 posts are in

General Category.

* : Division may initiate to sanction the new posts.

Sl. No

Category

Sanction Actual Vacancy

Require

ment Surplus

Surplus after outsourcing A B C

(A-B) D E

(A-D)

1 Ministerial staff 1 1 0 1 0 $

2 Nursing Staff 30 29 1

28

3

-

3 PH Nurse 1 0 1

4 Pharmacists 10 11 -1 8 2 -

5 Lab. Superintendent 5 5 0 5 0 -

6 Lab. Attendant 1 1 0 1 0 -

7 Radiographer 2 1 1 2 0 -

8 X-ray Attendant 1 0 1 1 0 -

9 ECG Technician 0 1 -1 1 -1 *

10 Physiotherapist 0 1 -1 1 -1 *

11 OT Assistant 3 4 -1

32

-4

*

12 Dresser 9 7 2

13 Hospital Attendant 16 17 -1

14 Record sorter 1 0 1 1 0 -

15 Safaiwala 16 16 0 10/5 6 5

16 Ambulance Driver 5 2 3 3/0 2 3

17 Ambulance attendant 2 1 1 2/0 0 2

18 Watchman 4 3 1 4/0 0 4

19 Cook 0 3 -3 0 0 0

Total 107 103 4 100 Sur : 13 Crea.: 6

After Outsourcing Surplus :14

37

Sanction Vs Requirement:

Sanction Actual Requirement Surplus Creation

107 103 100 13 6

38

SUMMARY OF RECOMMENDATIONS



Sl. No.

Category Grade pay

(Rs.) No. of posts


2 Pharmacist 4600 2

3 Safaiwala 1800 6


Total 13


2) Some of the activities are recommended for outsourcing, which

is equal to 14 posts, the same may be surrendered and credited

to the vacancy bank, after implementation of outsourcing.

Sl.

No. Category

Grade pay

(Rs.)

No. of

posts

1 Safaiwala 1800 5



4 Watchman 1800 4

Total 14



Division may be initiated for the sanction.

Sl. No.

Category Grade pay

(Rs.) No. of posts



3 HA 1800 4

Total 6


39

CHAPTER - IV

4.0 PLANNING BRANCH’S REMARKS ON CO-ORDINATING

OFFICER’S VIEWS:

Co-ordinating Officer’s views were received vide Addl.CMS’s /PGT letter No.

J/MD. 135/Work Study, dt. 17.10.2017 and the remarks of the Planning

Branch are given below. The copy of the CO’s views is placed as Annexure -

1. Co-ordinating Officer`s views :

Nursing Staff & PH Nurse

Divisional Hospital /PGT is catering to beneficiaries of PGT, SA divisions and

TVC Division (TCR and ERS areas). Almost all specialists are available at

RH/PGT.

Divsional Hospital has ICU, Operation Theatre and 3 wards ( Medical Ward,

Surgical Ward and Femal Ward). These areas are working 24 hours in a day.

Casualty started recently at RH/PGT which is working round the clock.

Hence, Surrendering of the above post will affect the smooth running of

Railway Hospital. So no posts can be surrendered.

Planning Branch Remarks:

There are 5 Incharge Nurses allowed for the Managerial functions which is

justifiable. An ANO is also available at RH/PGT tol take care the major portion

of Chief Matron’s responsibilities. The responsibilities of ANO is described in

the Para C. 10.2(i) of Railway Board yard stick for Man power planning for

Medical Department on IR. The nursing staff for the other areas i.e ICU,

Medical Ward, Surgical Ward, Female Ward and Casualty Ward, are allowed

round the clock(Refer Para 3.6.2 of the Report). The permitted 28 Nursing

staff for RH/PGT is optimum.

No of posts to be surrendered: 03

40

2 Co-ordinating Officer`s views:

Pharmacists:

No posts can be surrendered. Pharmacists are being used for following

works:

1. Calculating the Medicine, T&P and M&P items required for the financial

year.

2. Conducting market survey of T&P and M&P items.

3. Preparing the indent of Medicine, Non medicine items, T&P and M&P

items.

4. Tendering the T&P items, Medicines etc.

5. Purchasing the T&P items, Medicines and Accounting

6. Dispensing of Medicines

7. Maintenance works of T&P and M&P equipments

8. Maintaining the sick and fit register of the employees

9. They are part of disaster management

10. Dispensary is working 24 hrs in RH/PGT

Reducing the post less than 10 will affect the hospital work and

healthcare of Employees and Retired employees seriously. So no posts

can be surrendered.


The requirements of Pharmacists are arrived after considering all the said

works. It is recommended to replace the night duty pharmacists to HA.

The allowed 8 pharmacists for the Unit is seem appropriate.

No of posts to be surrendered: 02

41

3 Co-ordinating Officer`s views/comments( Para 2.17):

Safaiwalas

• Hospital set up requires much more cleanliness. Much more hygienic is

required than simple office setup to prevent infectious disease. It

requires to be cleaned two times per day

• In areas like, casualty, wards, ICU etc are working 24 hrs. These areas

to be cleaned three times per day, and as and when required.

• Safaiwalas maintains cleanliness in the hospital building and outside the

hospital building within the hospital compound also.

• Reducing the safaiwala post from 16 to 10 will affect the cleanliness of

Hospital and causing spread of infectious disease

• The present Government gives at most importance for cleanliness. In

this time reducing the safaiwala post to a very low level to 10 will affect

the cleaniness of the hospital.

• The safaiwalas are feeder category for Hospital Attendant.

• As per last work study conducted in 2010, the Safaiwals were reduced

from 24 to 16.

In the present work study, the area calculated for cleaning is ground floor of

the hospital building only, but First floor area and outside of the hospital

building within the compound not included. So the area to be cleaned is

more than 3 times the area calculated.

Further, reduction of Safaiwalas will affect seriously of the cleanliness of the

Hospital. So post in safaiwala cadre can not be surrendered.


Agreed to.

After outsourcing the cleaning activity a minimum 5 staff may be retained

and the remaining 11 posts may be surrendered.

No of posts to be surrendered : 11 after implementation of

Outsourcing

42

4 Co-ordinating Officer`s views :

Ambulance Driver :

It can be done after completion of successful outsourcing.


The current requirement is 3 Drivers only. Hence, the recommended 2 posts

may be surrendered with immediate effect. After implementation of

outsourcing the 3 posts can also be surrendered.

No of posts to be surrendered :(i) 02 with immediate effect

(ii) 03 after outsourcing.

5 Co-ordinating Officer`s views :

Creation of posts :

• ECG Technician : 1

• Physiotherapist : 1

• HA : 4

Agreed.


Agreed to.

6 Co-ordinating Officer`s views:

Outsourcing of the activities :

Necessary steps will be taken for outsourcing as earlier as possible. Posts

(Safaiwala, Ambulance Driver, Ambulance Attendant and Watchman) will be

surrendered after completion of successful outsourcing.


Agreed to.

43

SUMMARY OF REVISED RECOMMENDATIONS



Sl. No.

Category Grade pay

(Rs.) No. of posts


2 Pharmacist 4600 2


Total 7


2) Posts recommended for surrender after outsourcing

Some of the activities are recommended for outsourcing, which is

equal to 20 posts, the same may be surrendered and credited to

the vacancy bank, after implementation of outsourcing.

Sl.

No. Category

Grade pay

(Rs.)

No. of

posts

1 Safaiwala 1800 11



4 Watchman 1800 4

Total 20



Division may initiate for the sanction.

Sl.

No. Category

Grade pay

(Rs.)

No. of

posts



3 HA 1800 4

Total 6


44

CHAPTER - V

5.0 FINANCIAL SAVINGS

5.1 If the recommendations made in the study report are implemented, the

annual recurring financial savings will be as under:

Sl. No.

Category Grade

Pay No.of post

Mean Pay (Rs)

Annual Financial

Savings (Rs.)

1 Nursing Staff& PH

Nurse 4600 3 97396 3506256

2 Pharmacist 4600 2 97396 2337504

3 Safaiwala 1800 11 38948 5141136

4 Ambulance Driver 1900 5 43212 2592720

5 Ambulance Attendant

1800 2 38948 934752

6 Watchman 1800 4 38948 1869504

Total 27 1,63,81,872

45

ANNEXURE - I

‘S.A.V.E.’ STATEMENT OF RAILWAY HOSPITAL / PGT

Sl.

No. Category Sanction Actual Vacancy Excess

1. Cook 0 3 0 3

2. Watchman 4 3 1 0

3. X-ray Attendant 1 0 1 0

4. Lab Attendant 1 1 0 0

5. Amb.Attendant 2 1 1 0

6. OT Assistant 3 4 0 1

7. Dresser 9 7 2 0

8. Hosp.Attendant 16 17 0 1

9. Safaiwala 16 16 0 0

10. Nursing staff 30 29 1 0

11. PH Nurse 1 0 1 0

12. Ministerial Staff 1 1 0 0

13. Amb.Driver/MV Driver 5 2 3 0

14. Physiotherapist 0 1 0 1

15. Radiographer 2 1 1 0

16. ECG Tech. 0 1 0 1

17. Laboratory 5 5 0 0

18. Pharmacist 10 11 0 1

19. Record Sorter 1 0 1 0

Total 107 103 12 8

Net vacant : 4

46

ANNEXURE - II

47

48

49


STAFF STRENGTH AT


PGT DIVISION.


STAFF STRENGTH AT


PGT DIVISION.


STAFF STRENGTH AT


PGT DIVISION.

Documents

WORK STUDY TO REVIEW THE STAFF STRENGTH AT RAILWAY